Jonathan S Appelbaum, M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Monticello, FL
NPI 1215975503 · NPPES record last updated Apr 11, 2012
Key facts
- NPI
- 1215975503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 96766 (FL)
- Practice address
- 1255 W Washington St
Jefferson County Health Department
Monticello, FL 32344-1128 - Phone
- (850) 342-0170
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2201 S Monroe St
Tallahassee, FL 32301-6302
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100208000236 | FL | Practitioner - Internal Medicine | 9133153182 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96766 | FL | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Bend Cares Inc | Current |
Accepting new patients | |
| Big Bend Cares Inc | Current |
Accepting new patients |
Locations
2200 S Monroe St
Tallahassee, FL 32301
Phone (850) 354-8765
2201 S Monroe St
Tallahassee, FL 32301
Phone (850) 656-2437
Interoperability endpoints
- jonathan.appelbaum@217526021193732.direct.elationemr.com
- jonathan.appelbaum.1@22378.direct.athenahealth.com
- jonathanappelbaum@cphwc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 96766 | FL | Yes |
Addresses
Primary practice location
1255 W Washington St
Jefferson County Health Department
Monticello, FL 32344-1128
Mailing address
Florida State University College of Medicine
1115 West Call Street, Suite 3140-J
Tallahassee, FL 32306-4300
Phone (850) 645-1227
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000858900 | Medicaid | FL |
Other providers in Monticello, FL
- Adin Matthew Mora Velazquez Jr
- Alliance Family Resource Services
- Angels on Assignment
- Apalachee Center Inc
- Apalachee Center, Inc
- Archbold Medical Group
- Attentive in Home Care
- Brian Thomas Ballard
- Katherine Bass
- Be Reformed
All providers in Monticello, FL · Geriatric Medicine (Internal Medicine) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.